Junior Integration Engineer

Are you interested in pursuing a career in technology and healthcare that consistently innovates and leads in patient driven care, while working with a team that truly cares and supports each other to drive client success in healthcare? Consider Royal…Royal Health Inc is "A leader in healthcare operations technology who leads the market in patient and provider experience". Royal, headquartered in White Plains, NY, is a leading provider of software and services to the health care industry, delivering a seamless suite of solutions that is focused on patient, provider and operational workflows, optimizing engagement in all areas of the exam life cycle. Royal's leadership team is comprised of technology, business and clinical operations backgrounds with deep industry expertise in Healthcare, Data Security, Financial Services and Information Technology.

The Junior Integration Engineer serves as an entry point into Royal’s Integration team, supporting the design, implementation, maintenance, and optimization of interoperability solutions that connect radiology practices, imaging centers, and hospital systems with Royal’s cloud-based platform. This role focuses on expansion projects, enhancements for existing clients, and day-to-day support activities while developing technical expertise in healthcare interoperability. Working closely with Integration Leads, Support teams, Project Managers, and client stakeholders, the Junior Integration Engineer will build on foundational skills in HL7, DICOM, healthcare workflows, and interface technologies while contributing to reliable, scalable integrations that improve clinical operations and patient care.

Success in this role requires strong troubleshooting abilities, curiosity, attention to detail, and a passion for learning both technical systems and radiology workflows.

Requirements

Key Responsibilities :

Integration Support & Delivery

• Assist with the implementation, configuration, testing, and support of HL7 and DICOM interfaces between EMRs, RIS, PACS, dictation, billing, scheduling, and other healthcare applications.
• Support expansion projects, enhancements, and modifications for existing client environments.
• Collaborate with Integration Leads and Project Managers to gather requirements, validate workflows, and execute integration tasks.
• Participate in interface testing, issue resolution, go-live activities, and post-implementation support.
• Work closely with Support teams to investigate and resolve client-reported integration issues and support tickets.

Troubleshooting & Operational Excellence

• Analyze HL7 messages, logs, interface engine activity, and application workflows to identify and resolve issues.
• Troubleshoot interoperability challenges involving patient data, scheduling, orders, results, images, and downstream workflows.
• Monitor interfaces for data integrity, workflow alignment, and successful message delivery.
• Escalate complex issues appropriately while documenting findings and resolutions.

Documentation & Knowledge Management

• Create and maintain interface specifications, mapping documents, workflow diagrams, testing plans, and support documentation.
• Contribute to the growth of the department’s knowledge base by documenting processes, troubleshooting steps, lessons learned, and best practices.
• Assist in developing user-friendly materials that support internal teams, external teams, and overall operational consistency.

Professional Development

• Continuously build knowledge of HL7, DICOM, healthcare interoperability standards, integration engines, and related technologies.
• Participate in team training, mentoring, and collaborative problem-solving activities.
• Develop the technical and client-facing skills necessary for progression into an Integration Lead role.

This opportunity may be right for you:

• Strong knowledge of radiology and imaging workflows, including patient scheduling, registration, ordering, image acquisition, interpretation, reporting, and result distribution.
• Familiarity with healthcare applications including RIS, PACS, EMR/EHR, dictation, scheduling, and billing systems.
• Experience validating and troubleshooting HL7, DICOM, FHIR, and supporting healthcare software applications.
• Exposure to healthcare integration engines such as Mirth, Corepoint, Rhapsody, or Cloverleaf.
• Strong analytical thinking and troubleshooting skills.
• Excellent written and verbal communication skills.
• Strong attention to detail and organizational abilities.
• Ability to learn quickly in a fast-paced technical environment.
• Client-focused mindset with strong collaboration skills.

Extra awesome:

• BM Merge, GE, EPIC, Change, NextGen, Imagine, CareStream or other software/services vendors in healthcare radiology

Summary

Benefits :

• Competitive health plans (medical, dental, & vision insurance)
• Generous PTO & 9 Holidays
• 401(k) with company match
• Telemedicine healthcare visits
• Savings accounts (FSA, HSA, DCA)
• Life insurance & disability insurance options
• Casual office environments & Opportunity to work remotely

Location: Remote (work from home)

Department: Technology

Reports To: Integration Lead

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